Exam (elaborations)
Women’s Health (Latest 2024/ 2025 Update) Qs & As| Grade A| 100% Correct (Verified Answers)
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APEA Women’s Health
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APEA Women’s Health
Women’s Health (Latest 2024/ 2025 Update) Qs & As| Grade A| 100% Correct (Verified Answers)
Q: After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. What is the best response by the nurse?
Avoid regular use of tampon...
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1. Exam (elaborations) - Apea pharm women’s health (latest 2024/ 2025 update) qs & as| grade a| 100% correct...
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Women’slHealthl(LatestlUpdate)lQsl&lAs|l
GradelA|l100%lCorrectl(VerifiedlAnswers)
Q:lAfterltreatmentlforlalbladderlinfection,lalclientlaskslwhetherltherelislanythinglshelcanldolto
lpreventlcystitislinlthelfuture.lWhatlislthelbestlresponselbylthelnurse?
Avoidlregularluselofltampons.
Decreaselintakeloflpruneljuice.
Increaseldailylfluidlconsumption.
Cleanselthelperineumlfromlbackltolfront.
Answer:
-Increaseldailylfluidlconsumption.
Increasinglfluidlintakelflusheslthelurinaryltractloflmicroorganisms.lTamponsldolnotlincreaselthe
lriskloflcystitis.lFluidslshouldlbelincreased,lnotldecreased;lpruneljuicelpromoteslacidiclurine,lw
hichlisldesirablelbecauselitldiscourageslthelgrowthloflmicroorganisms.lThelpreferredlmethodlofl
cleansinglislfromlfrontltolbackl(urethraltolvagina);lhowever,lstudieslhavelshownlthatlthislmetho
dloflcleansinglislnotlalsignificantlfactorlinlthelpreventionloflcystitis.
Q:lAlnurselinlthelfamilylplanninglcliniclreviewslthelhealthlhistoryloflalsexuallylactivel16-
year-
oldlgirllwhoselchieflconcernlislalthick,lburningldischargelaccompaniedlbylalburninglsensationla
ndllowerlabdominallpain.lAfterlanlexaminationlthelgirllislinformedlthatlshelmaylhavelalsexuall
yltransmittedlinfectionl(STI)lthatlrequiresltreatment.lTheladolescentlislconcernedlthatlherlparent
slwillldiscoverlthatlshelhaslbeenlsexuallylactivelandlaskslthelnurselwhetherlherlparentslwilllbelc
ontacted.lThelnurselexplainslthatlherlparentslwill:
Incorrect1
Needltolknowltolsignlalconsentlformlforltestinglandltreatment
Notlbelcontacted,lbecauseltreatmentlatlthelcliniclislconfidential
Belnotifiedlwhenlthelinsurancelcompanylislbilledlforltestinglandltreatment
Remainluninformedlifltheladolescentlensureslthatlherlsexuallcontactslwilllcomelforltesting
Answer:
-Notlbelcontacted,lbecauseltreatmentlatlthelcliniclislconfidential
,Federalllawlallowslfamilylplanninglclinicsltolmaintainlminors'lconfidentiality,lalthoughlindividu
allstateslmaylhaveldifferentlregulations;ltherelislalconcernlthatltheselteenagerslwilllnotlseeklorlc
ontinueltreatmentlifltheylfearldisclosure.lTolmaintainlconfidentiality,lfamilylplanninglclinicsltre
atltheseladolescentslaslemancipatedlminorslwholcanlsignltheirlownlconsentlforms.lMostlfamilyl
planninglclinicslreceivelfundinglandlchargelonlalslidinglscalelbasedlonlincome,lthuslencouragin
gladolescentsltolseekltreatment.lTellinglthelclientlthatlherlparentslwilllnotlbelnotifiedlasllonglasl
shelensureslthatlherlsexuallcontactslcomelinlforltestinglcouldlbelviewedlaslcoercion;liflthelSTIli
slreportable,lfollow-
uploflsexuallpartnerslislindicated,lbutltheladolescentlislnotlresponsiblelforlensuringlthatltheylrep
ortlforltesting.
Q:lAlclientlaskslthelnurselatlthelfamilylplanninglcliniclwhetherlcontraceptionlislneededlwhilel
shelislbreastfeeding.lHowlshouldlthelnurselreply?
"Asllonglaslyoularen'tlhavinglperiods,lyoulwon'tlneedlalcontraceptive."
"Itlwouldlbelbestltoldelaylsexuallrelationsluntillyoulhavelyourlfirstlperiod."
lCorrect3
"Youlshouldluselcontraceptives,lbecauselovulationlmayloccurlwithoutlalperiod."
"Breastfeedinglsuppresseslovulation,lsolyouldon'tlneedltolworrylaboutlpregnancy."
Answer:
-"Youlshouldluselcontraceptives,lbecauselovulationlmayloccurlwithoutlalperiod."
Anovulationloccurslinlnursinglmotherslforlvaryinglperiods;lbreastfeedinglislnotlalreliablelmetho
dloflbirthlcontrol.lPeriodslmaylnotloccurlforlseverallmonths;lsexuallrelationslneedlnotlbeldelaye
dlthisllong.lOvulationlcanloccurlwithoutlmenstruation.lLactationlmayldelaylmenseslbutldoeslnot
lreliablylsuppresslovulation.
Q:lAlclientlwithlactivelgenitallherpeslhaslalcesareanlbirth.lThelnurselteacheslthelmotherlhowlt
ollimitltransmissionloflthelvirusltolherlnewborn.lThelnurselconcludeslthatlthelinstructionslhavel
beenlunderstoodlwhenlthelmotherlstates:
"Ilshouldlavoidlkissinglthelbabylonlthellips."
"IlhaveltolwearlgloveslwhenlI'mlholdinglthelbaby."
"Ilshouldlwashlmylclotheslandlmylbaby'slclotheslseparately."
"Ilhaveltolwashlmylhandslwithlsoaplandlwaterlbeforelhandlinglthelbaby."
,Answer:
-"Ilhaveltolwashlmylhandslwithlsoaplandlwaterlbeforelhandlinglthelbaby."
Thelherpeslvirusldisintegrateslrapidlylonlcontactlwithlsoaplusedlinlmeticulouslhandwashing.lTh
ellesionlislinlthelgenitallarea,lnotlonlthellips;lkissinglwilllnotlaffectlthelinfant.lWearinglglovesl
whenlholdinglthelinfantlislunnecessary;lnorlislwashinglthelinfant'slclotheslseparately.
Q:lnurselislplanninglcarelwithlalclientlforlthelrecoverylperiodlafterlallaparoscopiclhysterectom
ylandlbilaterallsalpingo-
oophorectomy.lWhatlshouldlbelincludedlamonglthelchangeslthatlthelclientlshouldlexpectlafterls
urgery?
Depression
Weightlgain
Urinelretention
Surgicallmenopause
Answer:
-Surgicallmenopause
Whenlbilateralloophorectomylislperformed,lbothlovarieslarelexcised,leliminatinglovarianlhormo
neslandlinitiatinglmenopause.lAlthoughldepressionlmayloccur,litlislnotlexpected;liflitldoesloccu
r,linterventionlislrequired.lTherelislnolphysiologicallreasonlforlweightlgainlafterlhysterectomy.l
Urinelretentionlislnotlanlexpectedlconcernlbecauselalurinelretentionlcatheterlislinsertedlbeforels
urgerylandlleftlinlplacelgenerallylforl24lhours,lregardlesslofltheltypeloflhysterectomyl(e.g.,llapa
roscopic,labdominal,lvaginal).
Q:lAfterlalmastectomylorlhysterectomy,lthelclientlmaylfeellincompletelaslalwoman.lWhichlst
atementlcauseslthelnurseltolrealizelthatlalclientlmaylbelexperiencinglthislconcern?
"Ilcan'tlwaitltolseelmylfriends."
"Ilwantltolgolhomelsoonltolseelmylgrandchild."
"Ilfeellwashedlout;ltherelisn'tlmuchlleftlforlmylfamily."
"Mylhusbandlarrangedlforlmeltolrecuperatelatlourldaughter'slhome."
Answer:
-"Ilfeellwashedlout;ltherelisn'tlmuchlleftlforlmylfamily."
, Thelclient'slstatementloflfeelingl"washedlout"lconnoteslalfeelingloflemptinesslandlloss.lResump
tionloflsociallactivitieslindicateslacceptancelandlalwillingnessltolmovelonlwithllife.lExpressingl
desireltolseelalgrandchildlislalresponseltypicalloflalgrandparentlanxiousltolresumellife.lThelclie
ntlislplanninglforlrehabilitationlbylstatinglherlintentionltolrecuperatelatlherldaughter'slhome,lnot
lexpressinglalsenseloflloss.
Topics
Q:lAlpostpartumlclientlislscheduledltolhavelaltuballligation.lShelhaslaskedlthatlherlhusbandln
otlbeltoldlaboutlthelprocedurelbecauselshelhasltoldlhimlthatlshelislhavinglexploratorylsurgery.lT
helclient'slhusbandlaskslthelnurselwhylhislwifelneedsltolhavelexploratorylsurgery.lHowlshouldlt
helnurselrespond?
"Whatlhaslthelphysicianltoldlyou?"
"Ildon'tlknowlthelanswerltolthatlquestion."
"I'mlnotlallowedltolgivelyoulthatlinformation."
"Havelyoultalkedltolyourlwifelaboutlyourlconcerns?"
Answer:
-"Havelyoultalkedltolyourlwifelaboutlyourlconcerns?"
Thelcorrectlresponselprotectslthelwife'slconfidentialitylwhilelfosteringlopenlcommunicationlbet
weenlthelcouple.lAskinglaboutlcommunicationlwithlthelphysicianldoeslnotlfosterlcommunicatio
nlbetweenlthelclientlandlthelclient'slhusband.lClaiminglnotltolknowlthelanswerltolthelquestionlo
rlclaiminglnotltolbelableltolsupplylthelinformationlinlquestionlsupportslneitherlthelwifelnorlthel
husband.
Q:lAlwomanlquestionslthelnurselaboutltheleffectivenessloflorallcontraceptives.lWhatlmostlim
portantlfactorlaboutltheleffectivenessloflorallcontraceptiveslshouldlbelincludedlinlthelreplyltolth
islquestion?
Userlmotivation
Simplicitylofluse
Reliabilitylrecord
Identifiedlrisklfactors
Answer:
-Userlmotivation